Borderline personality disorder: from understanding ontological addiction to psychotherapeutic revolution
Journal article
Ducasse, Déborah, Van Gordon, William, Brand-Arpon, Véronique, Courtet, Philippe and Olié, Emilie 2019. Borderline personality disorder: from understanding ontological addiction to psychotherapeutic revolution. European Archives of Psychiatry and Clinical Neuroscience. https://doi.org/10.1007/s00406-019-01029-6
| Authors | Ducasse, Déborah, Van Gordon, William, Brand-Arpon, Véronique, Courtet, Philippe and Olié, Emilie |
|---|---|
| Abstract | Bypassing a reductionist view of existing diagnostic categories, ontological addiction theory (OAT) is a new psychological model of human functioning. Borderline Personality Disorder (BPD), defined as “a pattern of instability in interpersonal relationships, self-image and affects, and marked impulsivity”, is not only common (up to 20% of psychiatric inpatients), but also strongly associated with suicide attempts and death by suicide. Therefore, BPD constitutes a major public health concern. As a consequence of an underlying condition of ontological addiction, self-harming behaviors can be conceptualized as addictions, suicidal acts reflecting an experiential avoidance strategy against unbearable psychological pain. The present paper aims at: (1) understanding BPD daily life experiences from the perspective of OAT; (2) offering psychotherapeutic perspectives for this mental disorder. The diagnostic category of BDP may be understood as a simple label reflecting several extreme types of manifestations resulting from the Self-grasping ignorance that underpins ontological addiction. Therefore, development of psychotherapeutic interventions targeting ontological addiction appears to be a promising future direction. |
| Keywords | Pharmacology (medical); Biological Psychiatry; Psychiatry and Mental health; General Medicine |
| Year | 2019 |
| Journal | European Archives of Psychiatry and Clinical Neuroscience |
| Publisher | Springer |
| ISSN | 09401334 |
| 14338491 | |
| Digital Object Identifier (DOI) | https://doi.org/10.1007/s00406-019-01029-6 |
| Web address (URL) | http://hdl.handle.net/10545/624227 |
| hdl:10545/624227 | |
| Publication dates | 04 Jun 2019 |
| Publication process dates | |
| Deposited | 23 Oct 2019, 10:29 |
| Accepted | 30 May 2019 |
| Contributors | University of Derby, CHU Montpellier, Lapeyronie Hospital, France and INSERM U1061, Neuropsychiatry: Epidemiological and Clinical Research Montpellier France |
| File | File Access Level Open |
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